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Thalidomide

Uses of Thalidomide

  • The primary role of Thalidomide is in the management of multiple myeloma, a type of blood cancer. It belongs to the category of immunomodulatory agents.

  • Secondary applications of Thalidomide include managing erythema nodosum leprosum (ENL), a painful skin complication associated with leprosy. Additionally, it may also be recommended in the management of other inflammatory conditions and cancers.

Side effects of Thalidomide

  • Drowsiness

  • Fatigue

  • Constipation

  • Skin rash and dryness

How Thalidomide works

  • Thalidomide is an immunomodulatory agent.

  • It works by enhancing the activity of immune cells such as T cells and natural killer cells, which play a crucial role in fighting unwanted cells in the body. Thalidomide also inhibits the production of certain substances called inflammatory cytokines, which are usually involved in causing inflammation and pain. Importantly, it prevents the growth of new blood vessels that supply nutrients to cancerous tumours, thereby slowing down their growth. Lastly, it induces apoptosis, which is the programmed death of cancer cells. This helps to reduce the number of harmful cells in the body.

Certified content

Written By

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Dr Vatsalya D GhanekarMedical Content Writer| 5 years

MD Ayurveda

Reviewed By

Dr. Osama Ahmed
Dr. Osama Ahmed Dental/Medical Writer, Editor, Reviewer| 2 years

Bachelor of Dental Surgery

Expert Advice

Dosage Forms Available

  • Thalidomide can be taken orally (capsule or tablet).

Age and Dose Restrictions

  • Thalidomide is typically prescribed for adults.

Contraindications

  • Thalidomide is contraindicated in patients who have a known hypersensitivity to thalidomide or any of its components.

Other Medications to Avoid

  • This medicine may interact with sedatives (such as midazolam, and diazepam), anti-anxiety medications (like alprazolam, and lorazepam), antipsychotics (such as risperidone, and olanzapine), anti-convulsants (like phenytoin, and carbamazepine), chemotherapy medicines (like cisplatin, and doxorubicin), anti-HIV medicines (like zidovudine) and blood thinners (like warfarin).

Overdose and Missed Dose

  • Overdose of Thalidomide may cause severe dizziness, increased heart rate or fainting. If you observe these symptoms, inform your doctor immediately.

  • If you forget to take this medicine, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

  • For drowsiness or dizziness, avoid driving or doing anything that requires concentration until you feel better.

  • Drinking plenty of water can help manage constipation.

Use in Driving and Operating Machinery

  • Thalidomide may cause drowsiness or dizziness. If these symptoms occur, avoid driving or operating heavy machinery.

Use in Pregnancy and Lactation

  • Thalidomide is not recommended for use during pregnancy or breastfeeding due to the risk of severe harm to the baby. Consult your doctor before using this medicine if you are pregnant, planning a pregnancy or breastfeeding.

Caution in Other Conditions

  • Patients with a history of seizures or low white blood cell counts should exercise caution when taking Thalidomide.

  • Caution is also advised for patients with HIV infection due to potential interactions with antiretroviral medicines.

Special Dietary and Lifestyle Recommendations

  • Stay hydrated and drink plenty of water.

  • Regular monitoring of your health is important while taking this medicine.

Frequently asked questions

There is no significant evidence to suggest that Thalidomide directly affects mood or behaviour. But, some patients may experience drowsiness or fatigue which could indirectly affect mood. Always consult your doctor if you experience any unexpected changes.

Weight gain is not a common side effect of Thalidomide. However, everyone reacts differently to medication, so it's best to keep an eye on any changes and consult your doctor if you have concerns.

Thalidomide is a chemical compound whose active ingredient does not contain animal products. However, capsules or tablets might contain non-vegan ingredients like gelatine. It is advisable to check the product label or consult your doctor for more information.

Thalidomide has an elimination half-life of 5-7 hours, which means most of the medicine is eliminated from your body within 48 hours after stopping treatment.

Live vaccines should be avoided during Thalidomide therapy. Inactivated vaccines, like the flu shot, may be safe, but you should always check with your doctor.

There is no specific information available to suggest that Thalidomide causes infertility. However, if you have concerns regarding this, it would be advisable to consult with your doctor.

The scientific literature does not specifically mention any effects of Thalidomide on the menstrual cycle. However, hormonal imbalances may occur due to various health conditions or medicines. Always consult your doctor if you notice any changes in your menstrual cycle during treatment.

Terms & Conditions

Available medicines for THALIDOMIDE
Thycad Capsule 10
Thycad Capsule 10
Cadila Pharmaceuticals Ltd
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₹531.96
MRP ₹625.83
15.00% OFF
Thalidomile 100 Capsule 10
Thalidomile 100 Capsule 10
Steris Healthcare
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Thalix 100 Capsule 10
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Fresenius Kabi India Pvt Ltd
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MRP ₹694.51
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Thycad 50 Capsule 10
Thycad 50 Capsule 10
Cadila Pharmaceuticals Ltd
Pack of 10 Units
₹283.01
MRP ₹340.98
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Thalix 50 Capsule 10
Thalix 50 Capsule 10
Fresenius Kabi India Pvt Ltd
Pack of 10 Units
₹286.09
MRP ₹348.89
18.00% OFF
Thalidomile 50 Capsule 10
Thalidomile 50 Capsule 10
Steris Healthcare
Pack of 10 Units
₹196.61
MRP ₹394.00
50.10% OFF
Thalitero 50 Capsule 10
Thalitero 50 Capsule 10
Hetero Healthcare Ltd
Pack of 10 Units
₹255.18
MRP ₹311.20
18.00% OFF
Adthal 100 Capsule 10
Adthal 100 Capsule 10
Adley Formulations
Pack of 10 Units
₹546.12
MRP ₹666.00
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